Goshen Homecare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOSHEN HOMECARE SERVICES LLC

Practice address

30848 9TH PL S Apt A201
Federal Way, WA 98003-9022

Phone

(480) 332-1543

NPI assigned

Apr 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scholarsticah Muthina

Title

Owner/Pres/Admin/Dir of Clinical

Phone

(480) 332-1543

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1295476042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30848 9TH PL S APT A201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980039022",
            "telephone_number": "480-332-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30848 9TH PL S APT A201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980039022",
            "telephone_number": "480-332-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "MUTHINA",
        "authorized_official_first_name": "SCHOLARSTICAH",
        "authorized_official_title_or_position": "OWNER/PRES/ADMIN/DIR OF CLINICAL",
        "authorized_official_telephone_number": "480-332-1543"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Goodwin
• Mareesa Shevette Goodwine, LMP
• Oleg E Gordienko, MD
• Chelsi Gordon
• Kaitlin Dawn Gorsline
• Valdencia Gossing, ARNP, FNP-C
• Michele C. Gotsis, AU.D.
• Ashley Tah Gougouehi, RN
• Richard K Gould, MD
• Richard Raymond Gould, MD

• In Home Supportive Care Agency in Federal Way, WA
• Providers in Federal Way, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.